Badly Decayed Molars, Extraction Socket Healing, Healthy Volunteer, Hyaluronic Acid Gel for Preservation the Extraction Socket, Low Level Laser Therapy, Mesh, Tooth Extraction Site Healing
Conditions
Keywords
hyaluronic acid, low level laser therapy, tooth extraction
Brief summary
Tooth extraction may be an unpleasant and painful experience for children, Post-extraction wound healing. Low-level laser therapy (LLLT) is a widely used adjuvant treatment for wound healing, resulting in both an increase in cell number and an increase in cell metabolism. HA it is an important component of the extracellular matrix and a constituent of the neural, connective, and epithelial tissues.
Detailed description
Tooth extraction may be an unpleasant and painful experience for children. Pain felt during dental treatment, especially tooth extraction, is the most common complication. Pain management during and after tooth extraction is part of behavioral guidance, especially in pediatric patients. Post-extraction wound healing and pain perception are related to hostrelated factors such as the patient's immune system, the use of painkillers and antibiotics, the presence of infection in the region, and the atraumatic nature of the procedure. Low-level laser therapy (LLLT) is a widely used adjuvant treatment for wound healing. It is based on the idea that exposure to a specific wavelength can alter cellular behavior, resulting in both an increase in cell number and an increase in cell metabolism. Aside from not having any negative effects, LLLT is an a thermic, photobiological, and nondestructive therapy approach. HA it is an important component of the extracellular matrix and a constituent of the neural, connective, and epithelial tissues. Among the many biological effects of HA are its functions in cell differentiation, wound healing, inflammation, embryological development, and viscoelasticity.
Interventions
A 980 nm diode laser will be applied immediately after extraction of the first permanent molar. The laser will be used in continuous mode at 0.5 W, with a total energy of 300 J, applied for 60 seconds at three points around the extraction socket.
Hyaluronic acid gel will be applied directly into the extraction socket immediately after tooth removal.
Sponsors
Study design
Masking description
outcome assessors and statistician
Eligibility
Inclusion criteria
1. Children aged from six to ten years. 2. Children of both genders. 3. Children with badly decayed first permanent molar beyond repair and indicated for extraction. 4. Parents acceptance to participate in the study.
Exclusion criteria
1. Medically compromised children. 2. Uncooperative children. 3. Children who will not attend the follow up visits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| wound size | 7 days | Wound size unit of measure : mm (millimeters) (mesiodistal and buccolingual dimension of each socket). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tissue Color Changes | Day 0, Day 3, and Day 7 post-extraction. | Gingival color assessed using the Landry, Turnbull, and Howley Index (normal vs inflamed). Unit of Measure: Binary (normal / inflamed) |
| Bleeding Upon Palpation | Day 0, Day 3, and Day 7 post-extraction. | Presence or absence of bleeding when palpating the extraction site. Unit of Measure: Binary (yes / no) |
| Pus Presence | Day 0, Day 3, and Day 7 post-extraction. | Presence or absence of pus at the extraction site. Unit of Measure: Binary (yes / no) |
| Pain Level During Application | Immediately after intervention (Day 0). | Pain assessed using Wong-Baker Faces Pain Rating Scale (0 = no pain, 10 = worst pain). (0 = no pain, 10 = worst pain). Higher scores indicate worse outcomes. |
Countries
Egypt